<?php
/**
 * Created by PhpStorm.
 * User: LEEYOOL
 * Date: 1/26/15
 * Time: 12:36 AM
 */
?>

<div class="col-md-4">
    <img src="<?php echo asset_url(); ?>images/contact2.png" alt=""/>
</div>
<div class="col-md-8">
    <form class="form-horizontal">
        <div class="form-group">
            <label for="inputHoten" class="col-sm-2 control-label">Họ tên: </label>
            <div class="col-sm-10">
                <input type="email" class="form-control" id="inputHoten" placeholder="Họ tên" name="fullname">
            </div>
        </div>
        <div class="form-group">
            <label for="inputEmail" class="col-sm-2 control-label">Email: </label>
            <div class="col-sm-10">
                <input type="email" class="form-control" id="inputEmail" placeholder="Email" name="email">
            </div>
        </div>
        <div class="form-group">
            <label for="inputPhone" class="col-sm-2 control-label">Điện thoại: </label>
            <div class="col-sm-10">
                <input type="email" class="form-control" id="inputPhone" placeholder="Điện thoại" name="phone">
            </div>
        </div>
        <div class="form-group">
            <label for="inputPhone" class="col-sm-2 control-label">Nội dung: </label>
            <div class="col-sm-10">
                <textarea class="form-control" rows="3" name="content"></textarea>
            </div>
        </div>

        <div class="form-group">
            <div class="col-sm-offset-2 col-sm-10">
                <button type="submit" class="btn btn-default">Gửi</button>
            </div>
        </div>
    </form>
</div>
